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Please take the time to read, it's a lengthy post. To mods, please do not delete, I can always modify this post if against any rules.
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I'm seriously considering pursuing an international 'fellowship' after residency and wanted to get your perspectives on the pros, cons, and overall feasibility of this plan. Bonus points if you have done one in the past/ worked abroad doing foot and ankle surgery.
I'm a first year resident. From a training standpoint, I feel confident that I’ll graduate with strong proficiency in forefoot and midfoot surgery. However, podiatry's exposure to rearfoot and ankle cases is somewhat limited by the orthopedic department. Currently, we have 4 podiatrists who bring rearfoot cases. We also have 1 month (may extend to 3 months if I can convince the right people) orthopedic trauma rotation. Although I expect to be comfortable with core procedures like ankle fracture fixation (likely not pilons), ankle fusions, and Achilles tendon repairs, I don’t anticipate feeling fully confident managing the broader spectrum of complex rear foot and ankle reconstruction by the end of residency. This, along with a longstanding interest (since podiatry school) in working abroad, is my reason for pursuing this desire.
A fellowship in the States may come with similar restrictions as my current residency training, if not worse.
As I mentioned earlier, I’m particularly interested in an international fellowship (or a series of structured work/learning experiences abroad), both for the educational value and the experience itself. My tentative plan would be to spend 1–3 years rotating through regions like Europe, and the Middle East, gaining exposure to different surgical techniques, pathology, and healthcare systems. I’d likely return to the U.S. periodically for locum work to maintain income and clinical continuity.
My plan is to work for a couple of years, get my certifications, pay off loans prior to going abroad.
A few specific questions I’ve been trying to think through:
- Do you think pursuing an international fellowship is a smart move, or does it pose too much risk in terms of long-term job stability and career trajectory especially due to current job market?
- How 'easy' is it to obtain ABFAS RRA certification after residency? This is, especially, directed towards individuals in private practice. What were the challenges you faced?
- Is it realistic to negotiate flexibility like a fellowship or sabbatical into an employment contract early in my career? For example, structuring something like 6 months abroad then 6 months in the U.S., even if it comes with reduced compensation?
- What are your recommendations for a non formal international "fellowship" pathway? I’m very interested in how foot and ankle surgery is practiced globally, and I suspect international settings may offer stronger opportunities to build more skills in rearfoot and ankle surgery, foot pathology.
Regardless of the feedback I receive or the practical challenges involved, I’m committed to pursuing this goal. It’s something I believe I would regret not doing later in life, and I recognize that it may become much harder to pursue as I take on additional personal responsibilities. I’m seeking input primarily to better understand how to approach this thoughtfully and realistically while I still have the flexibility to do so.
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I'm seriously considering pursuing an international 'fellowship' after residency and wanted to get your perspectives on the pros, cons, and overall feasibility of this plan. Bonus points if you have done one in the past/ worked abroad doing foot and ankle surgery.
I'm a first year resident. From a training standpoint, I feel confident that I’ll graduate with strong proficiency in forefoot and midfoot surgery. However, podiatry's exposure to rearfoot and ankle cases is somewhat limited by the orthopedic department. Currently, we have 4 podiatrists who bring rearfoot cases. We also have 1 month (may extend to 3 months if I can convince the right people) orthopedic trauma rotation. Although I expect to be comfortable with core procedures like ankle fracture fixation (likely not pilons), ankle fusions, and Achilles tendon repairs, I don’t anticipate feeling fully confident managing the broader spectrum of complex rear foot and ankle reconstruction by the end of residency. This, along with a longstanding interest (since podiatry school) in working abroad, is my reason for pursuing this desire.
A fellowship in the States may come with similar restrictions as my current residency training, if not worse.
As I mentioned earlier, I’m particularly interested in an international fellowship (or a series of structured work/learning experiences abroad), both for the educational value and the experience itself. My tentative plan would be to spend 1–3 years rotating through regions like Europe, and the Middle East, gaining exposure to different surgical techniques, pathology, and healthcare systems. I’d likely return to the U.S. periodically for locum work to maintain income and clinical continuity.
My plan is to work for a couple of years, get my certifications, pay off loans prior to going abroad.
A few specific questions I’ve been trying to think through:
- Do you think pursuing an international fellowship is a smart move, or does it pose too much risk in terms of long-term job stability and career trajectory especially due to current job market?
- How 'easy' is it to obtain ABFAS RRA certification after residency? This is, especially, directed towards individuals in private practice. What were the challenges you faced?
- Is it realistic to negotiate flexibility like a fellowship or sabbatical into an employment contract early in my career? For example, structuring something like 6 months abroad then 6 months in the U.S., even if it comes with reduced compensation?
- What are your recommendations for a non formal international "fellowship" pathway? I’m very interested in how foot and ankle surgery is practiced globally, and I suspect international settings may offer stronger opportunities to build more skills in rearfoot and ankle surgery, foot pathology.
Regardless of the feedback I receive or the practical challenges involved, I’m committed to pursuing this goal. It’s something I believe I would regret not doing later in life, and I recognize that it may become much harder to pursue as I take on additional personal responsibilities. I’m seeking input primarily to better understand how to approach this thoughtfully and realistically while I still have the flexibility to do so.
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